Organization Active NPI

Mile Post 53, LLC

Doing business as Synergy HomeCare of Central Virginia

  • In Home Supportive Care Agency
  • Ashland, VA
National Provider Identifier
1952849283
Registry record updated Feb 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HCO-171428 Issued in VA
Legal business name
MILE POST 53, LLC
Doing business as
Synergy HomeCare of Central Virginia
Practice address
11159 Air Park Rd
Suite 4
Ashland, VA 23005-3500
Phone
(804) 299-3479
Fax
(804) 299-4016
NPI assigned
Feb 7, 2017
Last updated
Feb 7, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Matthew Joseph Enderle
Title
Head of Operations
Phone
(804) 299-3479

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X HCO-171428 VA Primary

Addresses

Primary practice location

11159 Air Park Rd
Suite 4
Ashland, VA 23005-3500

Mailing address

11159 Air Park Rd
Suite 4
Ashland, VA 23005-3500
Phone (804) 299-3479

Other names 1

  • Synergy HomeCare of Central Virginia Doing business as

National Provider Directory

National Provider Directory

Locations

11159 Air Park Rd
Ste 4
Ashland, VA 23005
Phone (804) 299-3479

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486425600000",
    "number": "1952849283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11159 AIR PARK RD",
            "address_2": "SUITE 4",
            "city": "ASHLAND",
            "state": "VA",
            "postal_code": "230053500",
            "telephone_number": "804-299-3479",
            "fax_number": "804-299-4016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11159 AIR PARK RD",
            "address_2": "SUITE 4",
            "city": "ASHLAND",
            "state": "VA",
            "postal_code": "230053500",
            "telephone_number": "804-299-3479",
            "fax_number": "804-299-4016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILE POST 53, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-07",
        "last_updated": "2017-02-07",
        "status": "A",
        "authorized_official_last_name": "ENDERLE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "HEAD OF OPERATIONS",
        "authorized_official_telephone_number": "804-299-3479"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "VA",
            "license": "HCO-171428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Synergy HomeCare of Central Virginia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ashland, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.